Monica M Wilwert, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019026652 Issued in IL

Practice address

1300 W 2ND St
Rock Falls, IL 61071-1005

Phone

(815) 626-2230

Fax

(815) 626-6339

NPI assigned

Sep 21, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IA, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dentist

Education

Univ of Illinois at Chicago College of Dentistry, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rock Island, IL
  • NPI 1598759292
  Medicare reassignment
• Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Davenport, IA
  • NPI 1932193224
  Medicare reassignment
• Community Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • East Moline, IL
  • NPI 1669360459
  NPD
• Community Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Moline, IL
  • NPI 1710971486
  NPD
• Community Health Care, Inc.

  • Dental Clinic/Center
  • Davenport, IA
  • NPI 1598759029
  NPD
• Community Health Care, Inc.

  • Clinical Medical Laboratory
  • Davenport, IA
  • NPI 1649461310
  NPD
• Dallin C. Young, D.D.D, P.a.

  • Pediatric Dentistry
  • Twin Falls, ID
  • NPI 1417119330
  NPD (past)
• Twin Falls Kids Dental LLC

  • Pediatric Dentistry
  • Twin Falls, ID
  • NPI 1215426689
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720074206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W 2ND ST",
            "city": "ROCK FALLS",
            "state": "IL",
            "postal_code": "610711005",
            "telephone_number": "815-626-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W 2ND ST",
            "city": "ROCK FALLS",
            "state": "IL",
            "postal_code": "610711005",
            "telephone_number": "815-626-2230",
            "fax_number": "815-626-6339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1186 Eastland Dr N Ste B",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833018973",
            "country_code": "US",
            "telephone_number": "208-733-9331",
            "fax_number": "208-732-1210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILWERT",
        "first_name": "MONICA",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "4358",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08210",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IDAHO LICENSE",
            "identifier": "4358",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA STATE LICENSE",
            "identifier": "08210",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LICENSE",
            "identifier": "019026652",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Bernice Wetzell, DC
• Whiteside County Community Health Clinic
• Whiteside County Community Health Clinic
• Whiteside County School Dist 301
• Susan Wilhelm, LCSW
• Briena Wyckstandt, LCSW
• William Donald Yemm, D.D.S.

• General Practice Dentistry in Rock Falls, IL
• Providers in Rock Falls, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.